Individual
CHRISTIAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1060 CYPRESS PKWY STE 104, KISSIMMEE, FL 34759-3328
(407) 914-9168
(407) 337-8005
Mailing address
2717 EAGLE CANYON DR S, KISSIMMEE, FL 34746-3170
(919) 606-6423
(407) 337-8005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32715
FL
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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